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Texas rates for HCPCS 72130

Ct Thoracic Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.81 / $62.29 / $79.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.81 / $228.07 / $410.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $62.26 / $98.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.56 / $56.95 / $111.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $153.04 / $243.56
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.52 / $282.00 / $374.32
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.38 / $56.38 / $60.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.05 / $69.05 / $69.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.12 / $304.91 / $597.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.87 / $71.23 / $123.58
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$436.88 / $549.76 / $565.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.84 / $2,362.66 / $2,362.66
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$523.40 / $523.40 / $523.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.63 / $322.91 / $472.08
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.27 / $95.54 / $231.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $166.42 / $334.08
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.05 / $69.05 / $69.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.87 / $326.35 / $610.05
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.42 / $71.23 / $123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.72 / $290.88 / $510.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.86 / $64.95 / $111.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.02 / $187.16 / $265.80
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.42 / $56.95 / $78.59